Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth R Wilson Sr.

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1619567872

Kenneth R Wilson Sr. is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

2081 Chaffee Rd S Lot 119
Jacksonville, FL 32221-1887
Phone: (904) 834-9093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (FL)

Record details

NPI number1619567872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

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